Brentwood Place Two

3505 S Buckner Blvd Bldg 3 · Dallas, TX · 75227 · 2143880519

120 certified beds For profit - Corporation Chain: Opco Skilled Management

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results have improved across recent cycles.

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Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Total nurse staffing below 3.0 hours per resident-day

2.59 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 40
Serious harm & abuse 20% 70
Staffing 20% 50
Federal penalties 15% 60
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day2.593.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day2.24≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)2 · $21,947

Inspection citations (33 in the current record)

  • Potential for harm · E March 5, 2026

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected March 6, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026

    Provide appropriate foot care.

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · E March 5, 2026

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected March 6, 2026 · Nutrition and Dietary

  • Potential for harm · D March 5, 2026

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected March 6, 2026 · Nutrition and Dietary

  • Potential for harm · E March 5, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 6, 2026 · Nutrition and Dietary

  • Potential for harm · E June 4, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D June 4, 2025 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 5, 2025 · Quality of Life and Care

  • Potential for harm · D June 4, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 5, 2025 · Infection Control

  • Potential for harm · E December 12, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected December 13, 2024 · Resident Rights

  • Potential for harm · E December 12, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected December 13, 2024 · Resident Rights

  • Potential for harm · D December 12, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 13, 2024 · Quality of Life and Care

  • Potential for harm · E December 12, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 13, 2024 · Quality of Life and Care

  • Potential for harm · D December 12, 2024

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected December 13, 2024 · Administration

  • Potential for harm · D December 12, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 13, 2024 · Nutrition and Dietary

  • Potential for harm · E December 12, 2024

    Provide and implement an infection prevention and control program.

    Corrected December 13, 2024 · Infection Control

  • Potential for harm · E October 18, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 8, 2024 · Pharmacy Service

  • Immediate jeopardy · J February 29, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 2, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J February 29, 2024 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 2, 2023 · Pharmacy Service

  • Potential for harm · D February 29, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected March 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 29, 2024 · found via complaint

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected March 8, 2024 · Nutrition and Dietary

  • Potential for harm · E November 2, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 9, 2023 · Pharmacy Service

  • Potential for harm · D November 2, 2023

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected November 9, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 29, 2024Fine$14,433
July 13, 2023Fine$7,514

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675702 · certified since August 5, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.